Innovation in a Learning Health Care System: Veteran-Directed Home- and Community-Based Services.

ABSTRACT: A path-breaking example of the interplay between geriatrics and learning healthcare systems is the Veterans Health Administration's (VHA's) planned roll-out of a program for providing participant-directed home- and community-based services to veterans with cognitive and functional limitations. We describe the design of a large-scale, stepped-wedge, cluster-randomized trial of the Veteran-Directed Home- and Community-Based Services (VD-HCBS) program. From March 2017 through December 2019, up to 77 Veterans Affairs Medical Centers will be randomized to times to begin offering VD-HCBS to veterans at risk of nursing home placement. Services will be provided to community-dwelling participants with support from Aging and Disability Network Agencies. The VHA Partnered Evidence-based Policy Resour

SUBMITTER: Garrido MM 

PROVIDER: S-EPMC6317362 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature